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百万医疗平安e生保系列产品对比


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2025-09-13 22:13 - 2025-09-13 22:18 #842
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by service
新帖
该产品系列分为三个主版本一个可附加的加享版计划:面向大众的惠享版、面向中端客户的尊享版、面向高净值人群的颐享版;以及可灵活与惠享搭配升级的加享系列。以满足从普惠到高端的全方位需求。一、产品体系总览
今天为大家介绍我们的医疗产品系列。

 平安e生保系列核心版本对比总表特性维度惠享版 (基础款)尊享版 (中端款)颐享版 (高端款)加享版 (附加计划)核心定位普惠大众,保证续保品质医疗,扩展特需全球就医,顶级保障灵活搭配,补充责任投保年龄0 - 55岁0 - 70岁0 - 70岁0 - 60岁续保条件保证续保20年1年期,非保证续保1年期,非保证续保1年期,非保证续保医院范围大陆医保定点医院普通部扩展至特需部、国际部全球范围(含港澳台、昂贵医院)依计划而定,从普通部到全球医院免赔额1万/年,无理赔可降至5千可选0免赔或1万可选0免赔或1万计划一:0元;计划二/三/四/五:1万年度保额一般医疗200万/重疾400万400万800万计划一/二:200万;
计划三/四/五:600万核心责任住院前后门急诊、住院费用增加院外责任
- 特药(50万)
- 基因检测(3万)
- 先进疗法增强院外责任
- 特药/基因检测额度更高
含先天/精神类疾病纯院外责任(计划一)或完整责任(计划二/三/四/五)特色服务垫付服务、就医协助特需部直付、专家手术安排全球直付、海外二诊、紧急援助依计划附加特药、先进疗法协助等服务销售策略家庭单销售,享折扣面向中端客户,追求品质面向高端客户,全球自由就医与主险搭配购买,弥补保障缺口各版本精准说明二、各版本详解1. 惠享版(基础普惠款)
  • 目标客群:大众客户,强调家庭投保。
  • 核心特点
    • 保证续保:保证续保20年,提供长期安心保障。
    • 家庭优惠:2人95折,3人9折,4人85折,鼓励以家庭为单位销售。
  • 保障责任
    • 医院范围:中国大陆二级及以上医保定点医院普通部(含公立/私立)。
    • 免赔额:1万元/年。未理赔每年降低1000元,最低可至5000元。
    • 报销规则:经社保报销后100%赔付;未经社保报销则按60%赔付。
    • 额度:一般医疗200万,重疾医疗400万,20年累计限额800万。
    • 保障范围:覆盖住院前30天后30天门急诊、住院期间费用(含因DRG控费产生的门诊购药/处置费)。
  • 增值服务(安有医服务):提供就医全流程支持,包括住院前问诊/预约/陪诊、院中垫付/专家会诊、出院协助及院后康复指导。垫付功能是核心亮点,能解决客户大额医疗费用的现金流难题,赋予其就医选择权。
2. 尊享版(中端升级款)
  • 目标客群:对就医品质和服务有更高要求的中端客户。
  • 核心升级点
    • 投保年龄:放宽至0-70岁。
    • 医院范围:扩展至特需部、国际部。
    • 免赔额:可选0元或1万元,更灵活。
    • 保障责任:在惠享版基础上,新增院外责任
      1. 术后康复(3万额度)
      2. 院外基因检测(3万额度)
      3. 院外特药/药械(50万额度)
      4. 先进疗法(质子重离子、CAR-T疗法)
    • 额度:年度总保额400万。
    • 续保:为一年期非保证续保产品。
  • 增值服务升级:在惠享版服务基础上,增加专家点诊、专车接送、特需/国际部直付(无需客户垫付,保护家庭和企业现金流)、海外特药等。
3. 颐享版(高端全球款)
  • 目标客群:追求全球顶级医疗资源的高端客户。
  • 核心升级点
    • 医院范围:覆盖全球(含港澳台,可选除美或全球)。
    • 额度:提升至800万/年。
    • 保障责任:院外责任额度提升(术后康复、基因检测增至5万),并增加特定疾病(如先天性疾病、精神类疾病)保障。
  • 增值服务:提供顶配的全球服务,如全球紧急援助、海外就医直付、海外二次诊疗意见等,实现省心、省力、省钱的全球就医体验。
4. 加享系列(灵活搭配款)
  • 产品定位:作为附加险,与主险(如惠享版)搭配销售,实现保障升级。
  • 各计划区别
    • 加享1:主要提供院外责任(基因检测、特药、先进疗法),无院前院中保障,需搭配主险。
    • 加享2:提供“院前-院中-院后”全程保障,包含特需/国际部,额度200万,对标尊享版。
    • 加享3/4/5:额度提升至600万,增加特定疾病保障,提供全球医疗服务,对标高端医疗。

咨询微信号:rafavi001
1. e生保·惠享版(基础款)
  • 核心卖点保证续保20年,提供长期稳定的基础保障。
  • 适用人群:追求保障稳定性、预算有限的大众家庭。
  • 医院范围:仅限于中国大陆地区的二级及以上医保定点医院普通部(包含公立和私立)。
  • 特色保障住院垫付服务,解决大病就医的资金周转难题。
  • 销售策略:鼓励家庭投保,2人享95折,3人享9折,4人及以上享85折。
2. e生保·尊享版(中端款)
  • 核心卖点:覆盖特需部、国际部,解决“院外购药”难题。
  • 升级保障
    • 院外特定药品费用:保额50万。
    • 院外基因检测:保额3万。
    • 先进疗法:包含质子重离子和CAR-T治疗。
  • 特色服务特需/国际部直付(客户不用掏钱,由保险公司和医院直接结算)、专家点诊、手术安排。
  • 注意:虽可续保至100岁,但为非保证续保产品。
3. e生保·颐享版(高端款)
  • 核心卖点全球医疗网络,突破境内医疗资源限制。
  • 升级保障
    • 额度更高:总保额800万,院外责任额度提升(如术后康复5万)。
    • 突破免责:承保绝大多数产品免责的先天性疾病精神类疾病
    • 特疾保障:含保障区域外的紧急医疗救助、重疾交通补贴等。
  • 特色服务全球就医直付、海外二次诊疗意见、海外就医协助、全球急难援助等全方位高端服务。
4. e生保·加享版(附加计划) - 需与主险搭配购买
  • 定位:非独立主险,用于补充主险(通常是惠享版)的保障不足
  • 计划一仅包含院外责任(特药、基因检测、先进疗法),不包含住院和普通门急诊费用。适合已购买惠享版、希望补强特药保障的客户。
  • 计划二:提供完整的住院+院外责任,并扩展至特需部/国际部,保额200万。相当于用“惠享版+加享二”组合成一个“尊享版”。
  • 计划三/四/五:在计划二基础上,医院范围扩展至全球,保额提升至600万,并增加特疾保障。相当于用“惠享版+加享五”组合成一个“颐享版”。
总体
  1. 产品体系清晰:平安e生保通过“惠享、尊享、颐享”覆盖不同客群,再通过“加享”实现灵活搭配,策略非常完善。
  2. 选择逻辑
    • 看中稳定性:首选 惠享版
    • 追求品质和特药保障:选择 尊享版 或 “惠享版 + 加享一”。
    • 需要特需/国际部就医:选择 尊享版 或 “惠享版 + 加享二”。
    • 需要全球保障:选择 颐享版 或 “惠享版 + 加享三/四/五”。
  3. 核心价值:整个产品系列的核心已从“事后报销”转向“就医全流程服务”,垫付直付功能极大地提升了产品的实用价值和客户体验。

咨询微信号:rafavi001
Last edit: 2025-09-13 22:18 by service.

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Stack Trace

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